Healthcare Provider Details

I. General information

NPI: 1447645502
Provider Name (Legal Business Name): DELIA F BAKEMAN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2015
Last Update Date: 09/28/2026
Certification Date: 09/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3425 S CLARKSON ST
ENGLEWOOD CO
80113-2811
US

IV. Provider business mailing address

3425 S CLARKSON ST
ENGLEWOOD CO
80113-2811
US

V. Phone/Fax

Practice location:
  • Phone: 303-789-8220
  • Fax: 303-789-8470
Mailing address:
  • Phone: 303-789-8220
  • Fax: 303-789-8470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberDR.0066589
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number264860
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: